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� PUBLIC u1VORKS <br />PERyVI1T <br />PUBLIC WOfiKS DEPARTMENT <br />3200 Cedar Street <br />Everett, WA 98207 <br />„25,��BBpOSTING sEP 2 $ zooa <br />OWNERK41dE "�vn�.i n�.f'mD HW lAC APPLICANTNAME S�• <br />ANDAD�RE55: 1816 S LAICE $TE�NS � ANDAD[`RE55: <br />LAKE STEVEHS WA 9B256 <br />rHONE: 4��3390573 <br />PARCEL I.D. a <br />DESCRIPTION OF <br />PROPOSED'NORK: <br />PERMIT CONDITIONS <br />PHONE: <br />Date <br />Public Works Permit a <br />Building Permi� k <br />Pla�ning Reference a <br />Public Works Fee S <br />Guarantee S <br />AooRESS: a9i.-'. ?%7ii }i�T', SF. <br />09/30/2009 � <br />Pp0909-039 <br />C0909-027 <br />$25.00 <br />LiYI' 6 SHORT PLAT 1202-30-02 <br />1. All calls tor inspection shall be made 24 hours in advance • phone (425) 257-881G <br />2. All work shall be perlormed in accordance with this permil and currem City of Everelt Design and Construction <br />Standards and Specifications. <br />3. Call Location Underground Service 48 hrs. before you dig. TOLL FREE NUMBER 1-BUO-424-5555 <br />4. Connecr cooftop downapouts i:o tha dcainage sy�tem pcovided fnr thi� lot. <br />5. Install erosion oontrol measures as determin�d by the Public Works inspector such <br />as silt fence, stcav bale9, evales oc eeosion blanketa. <br />5. Remove erosion control measures upon co!npletion of the pcoject prior to final <br />appcoval of the permit. <br />7. All excavated mateeial feom foundation, side�alk and ��C1VBWdy3 shalll be hauled to <br />an approved, permitted site. No vasting of material is alloved on this building lot. <br />8. A sprinkler system is cequired foc this building in conplianr_e with the <br />requirements of NFpA Standards 13D <br />_5:54 <br />, --r <br />��JEn ". <br />r�-`.t, <br />0 <br />�F t <br />�i , i'�' <br />�;, ;:: <br />;.p�,;, <br />l��J. _ : <br />l.sl? . �� <br />!,r+... <br />ACKNOWLEDGEMENT OF CONDITIONS <br />The undersigned owner.�applir.ant here6y agrees to hold and <br />, _ .� �� C¢ <br />`/ `� ,• � save harmless the City ol Everett irom any and all claims for <br />np vetl br,Cons�mclion aie damages, cosis, eapenses, or causes of action that may arise <br />/, 1 � because o( installation and maiNenance of the improvemenl or <br />!/�,;/ �` `w�� ���/ f� other right�ol-way use hereto applied tor and furlher agrecs to <br />�'�t� �f. remove same upon nolice �rom the City and to replace public <br />FINAL INSPECTION property da ed eby. <br />Approvetl as Cnnsimcletl Daie �,i} , � ,�,� _ / <br />- 0 /1'h 1 U Y\,� <br />)-CJ V <br />Signawre of Applicanl Daie <br />��rZ 0� <br />WORK AU7HORIZE� BV THIS PLRMIT MUST 8[ STAPTED SNITHIN 180 DAYS OF DATE PERMIT IS ISSUED AMD TH[REAFTER IS TO BE DILIGENTLV PURSUED <br />70 CO�dPLETrJN. THIS PER�d1T MAV BE CANCELLEO BY THE CITY UPON ANY STOPPAGE OF WORK ON THIS PROJECT OVER 90 DAYS DURATION. <br />Z <br />O <br />� <br />N <br />O <br />a <br />